| NPI | 1851644983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100457-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH C1100457) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2020-02-20 |